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Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study / Marina Assadourian in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)
[article]
Titre : Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study Type de document : texte imprimé Auteurs : Marina Assadourian ; Florian Bailly ; Pierre Letellier ; Antoine Potel ; Bernard Duplan ; Johann Beaudreuil ; Arnaud Dupeyron ; Violaine Foltz ; Nada Ibrahim-Nasser ; Isabelle Griffoul ; Sophia Ascione ; Laetitia Morardet ; Myrianne Le Ralle ; B. Fautrel ; Laure Gossec Année de publication : 2020 Article en page(s) : p. 189-194 Note générale : doi.org/10.1016/j.rehab.2019.06.019 Langues : Anglais (eng) Mots-clés : Chronic low back pain Chronic pain Functional restoration program Physical activity Public health Résumé : Background
Individuals with chronic low back pain (cLBP) may benefit from multimodal functional restoration programs (FRPs).
Objective
The aim of this study was to analyze characteristics of individuals with cLBP who were referred or not to an FRP. Because cLBP is a bio-psycho-social disorder, medical and social parameters were analysed.
Methods
This was an observational cross-sectional study performed in 2017 in 6 tertiary centres in France. Consecutive individuals with cLBP visiting a rheumatologist or physical medicine and rehabilitation physician were included. Individuals referred or not to an FRP were compared by demographic characteristics, duration of sick leave over the past year, self-reported physical activity > 1 h/week, pain (numeric rating scale 0–10), anxiety/depression (Hospital Anxiety and Depression Scale), disability (Oswestry Disability Index) and kinesiophobia (Tampa Kinesiophobia Scale). Univariate and multivariate logistic regression analyses were performed, estimating odds ratios (ORs) and 95% confidence intervals (CIs).
Results
We included 147 individuals with cLBP. The mean (SD) age was 49 (12) years and 88 (60%) were women; 58 (38%) were referred to an FRP. On multivariate analysis, referral to an FRP was associated with reduced pain level (OR: 0.95, 95% CI: 0.91–0.99, for each 1-point increase in pain score), self-reported lack of physical activity (OR: 0.84, 95% CI: 0.72–0.98) and longer sick leave (OR: 1.03, 95% CI: 1.01–1.05, for 30 more days of sick leave).
Conclusion
In this multicentric observational study, referral to an FRP was linked to pain, self-reported physical activity and sick leave but not medical characteristics assessed. These findings confirm the bio-psycho-social approach of FRPs for cLBP.Permalink : ./index.php?lvl=notice_display&id=90794
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 189-194[article] Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study [texte imprimé] / Marina Assadourian ; Florian Bailly ; Pierre Letellier ; Antoine Potel ; Bernard Duplan ; Johann Beaudreuil ; Arnaud Dupeyron ; Violaine Foltz ; Nada Ibrahim-Nasser ; Isabelle Griffoul ; Sophia Ascione ; Laetitia Morardet ; Myrianne Le Ralle ; B. Fautrel ; Laure Gossec . - 2020 . - p. 189-194.
doi.org/10.1016/j.rehab.2019.06.019
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 189-194
Mots-clés : Chronic low back pain Chronic pain Functional restoration program Physical activity Public health Résumé : Background
Individuals with chronic low back pain (cLBP) may benefit from multimodal functional restoration programs (FRPs).
Objective
The aim of this study was to analyze characteristics of individuals with cLBP who were referred or not to an FRP. Because cLBP is a bio-psycho-social disorder, medical and social parameters were analysed.
Methods
This was an observational cross-sectional study performed in 2017 in 6 tertiary centres in France. Consecutive individuals with cLBP visiting a rheumatologist or physical medicine and rehabilitation physician were included. Individuals referred or not to an FRP were compared by demographic characteristics, duration of sick leave over the past year, self-reported physical activity > 1 h/week, pain (numeric rating scale 0–10), anxiety/depression (Hospital Anxiety and Depression Scale), disability (Oswestry Disability Index) and kinesiophobia (Tampa Kinesiophobia Scale). Univariate and multivariate logistic regression analyses were performed, estimating odds ratios (ORs) and 95% confidence intervals (CIs).
Results
We included 147 individuals with cLBP. The mean (SD) age was 49 (12) years and 88 (60%) were women; 58 (38%) were referred to an FRP. On multivariate analysis, referral to an FRP was associated with reduced pain level (OR: 0.95, 95% CI: 0.91–0.99, for each 1-point increase in pain score), self-reported lack of physical activity (OR: 0.84, 95% CI: 0.72–0.98) and longer sick leave (OR: 1.03, 95% CI: 1.01–1.05, for 30 more days of sick leave).
Conclusion
In this multicentric observational study, referral to an FRP was linked to pain, self-reported physical activity and sick leave but not medical characteristics assessed. These findings confirm the bio-psycho-social approach of FRPs for cLBP.Permalink : ./index.php?lvl=notice_display&id=90794 Exemplaires (1)
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Exclu du prêtSecondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials / Caroline Meyer in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)
[article]
Titre : Secondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials Type de document : texte imprimé Auteurs : Caroline Meyer ; Camille M. Denis ; Anne Berquin Année de publication : 2018 Article en page(s) : p. 323-338 Note générale : Doi : 10.1016/j.rehab.2018.03.002 Langues : Anglais (eng) Mots-clés : Musculoskeletal pain Low back pain Chronic pain Secondary prevention Stratified care Résumé : Background
Chronic musculoskeletal pain disorders are highly prevalent and have high personal and societal cost. Hence, early detection and care of patients at risk of developing chronic pain is important. Risk factors are well known and screening tools exist, but much less is known about the care of at-risk patients. The aim of this study was to investigate the effectiveness of secondary prevention strategies for musculoskeletal pain.
Methods
We performed a systematic review of clinical trials in which treatments were adjusted to the risk of chronicity in adults with acute or subacute musculoskeletal pain. Clinical trials, systematic reviews and meta-analyses published after January 1, 2000 were searched in PubMed and PEDro databases and in the reference list of relevant papers. The risk of bias was assessed by the PEDro score.
Results
We identified 4807 potentially eligible articles; 13, corresponding to 9 studies, met the inclusion criteria. Most studies investigated low back pain. The overall risk of bias was moderate, mainly because of the difficulty of blinding in physiotherapy studies. As compared with a “one-size-fits-all” treatment, stratified programmes showed significant improvements in several domains of the International Classification of Functioning, Disability and Health: body structures and functions (pain, mood), activities (functional capacity), participation (return to work, quality of life), as well as environmental factors (healthcare consumption). Effect sizes were moderate. Overall, simple educational messages seemed sufficient for low-risk patients. Medium- and high-risk patients benefited from a physical reactivation programme combined with education. In high-risk patients, an additional cognitive-behavioural intervention further improved the outcome.
Conclusions
A stratified approach seems effective in reducing long-term disability in patients with musculoskeletal pain. However, more research is necessary to confirm these results.Permalink : ./index.php?lvl=notice_display&id=80631
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 323-338[article] Secondary prevention of chronic musculoskeletal pain: A systematic review of clinical trials [texte imprimé] / Caroline Meyer ; Camille M. Denis ; Anne Berquin . - 2018 . - p. 323-338.
Doi : 10.1016/j.rehab.2018.03.002
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 323-338
Mots-clés : Musculoskeletal pain Low back pain Chronic pain Secondary prevention Stratified care Résumé : Background
Chronic musculoskeletal pain disorders are highly prevalent and have high personal and societal cost. Hence, early detection and care of patients at risk of developing chronic pain is important. Risk factors are well known and screening tools exist, but much less is known about the care of at-risk patients. The aim of this study was to investigate the effectiveness of secondary prevention strategies for musculoskeletal pain.
Methods
We performed a systematic review of clinical trials in which treatments were adjusted to the risk of chronicity in adults with acute or subacute musculoskeletal pain. Clinical trials, systematic reviews and meta-analyses published after January 1, 2000 were searched in PubMed and PEDro databases and in the reference list of relevant papers. The risk of bias was assessed by the PEDro score.
Results
We identified 4807 potentially eligible articles; 13, corresponding to 9 studies, met the inclusion criteria. Most studies investigated low back pain. The overall risk of bias was moderate, mainly because of the difficulty of blinding in physiotherapy studies. As compared with a “one-size-fits-all” treatment, stratified programmes showed significant improvements in several domains of the International Classification of Functioning, Disability and Health: body structures and functions (pain, mood), activities (functional capacity), participation (return to work, quality of life), as well as environmental factors (healthcare consumption). Effect sizes were moderate. Overall, simple educational messages seemed sufficient for low-risk patients. Medium- and high-risk patients benefited from a physical reactivation programme combined with education. In high-risk patients, an additional cognitive-behavioural intervention further improved the outcome.
Conclusions
A stratified approach seems effective in reducing long-term disability in patients with musculoskeletal pain. However, more research is necessary to confirm these results.Permalink : ./index.php?lvl=notice_display&id=80631 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtUsing drawings of pain-related images to understand the experience of chronic pain: A qualitative study / Joanna Phillips in The British Journal of Occupational Therapy, Volume 78 numéro 7 (Juillet 2015)
[article]
Titre : Using drawings of pain-related images to understand the experience of chronic pain: A qualitative study Type de document : texte imprimé Auteurs : Joanna Phillips, Auteur ; Jane Ogden, Auteur ; Claire Copland, Auteur Année de publication : 2015 Article en page(s) : p.404-411 Langues : Anglais (eng) Mots-clés : Chronic pain imagery drawing illness perceptions cognitions Résumé : Introduction This study aimed to use drawing as a means to explore the content of pain-related images in a sample of people with chronic pain.
Method Adults (n = 90) attending three United Kingdom National Health Service pain clinics were asked to bring to mind and draw an image of their pain. Drawings were analysed using critical visual analysis methodology.
Results Fifty-four participants drew a picture of their pain. Drawings were vivid, emotionally charged and included catastrophic interpretations of pain. Image content was described using three main themes: pain as an attacker, the nature of pain (pain sensations, timeline, pain location) and the impact of pain (pain as a barrier, being trapped by pain and the future with pain). Drawings reflected different perspectives taken in the image, with images of the person themselves in pain (as if seen through the eyes of an observer) evoking a sense of helplessness and isolation.
Conclusion Pain-related images can provide a valuable insight into people’s pain worlds, with images reflecting pain cognitions and barriers to recovery. Clinicians may find drawing a helpful tool in the assessment and management of chronic pain, enabling a visual and shareable language for pain.Permalink : ./index.php?lvl=notice_display&id=40379
in The British Journal of Occupational Therapy > Volume 78 numéro 7 (Juillet 2015) . - p.404-411[article] Using drawings of pain-related images to understand the experience of chronic pain: A qualitative study [texte imprimé] / Joanna Phillips, Auteur ; Jane Ogden, Auteur ; Claire Copland, Auteur . - 2015 . - p.404-411.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 7 (Juillet 2015) . - p.404-411
Mots-clés : Chronic pain imagery drawing illness perceptions cognitions Résumé : Introduction This study aimed to use drawing as a means to explore the content of pain-related images in a sample of people with chronic pain.
Method Adults (n = 90) attending three United Kingdom National Health Service pain clinics were asked to bring to mind and draw an image of their pain. Drawings were analysed using critical visual analysis methodology.
Results Fifty-four participants drew a picture of their pain. Drawings were vivid, emotionally charged and included catastrophic interpretations of pain. Image content was described using three main themes: pain as an attacker, the nature of pain (pain sensations, timeline, pain location) and the impact of pain (pain as a barrier, being trapped by pain and the future with pain). Drawings reflected different perspectives taken in the image, with images of the person themselves in pain (as if seen through the eyes of an observer) evoking a sense of helplessness and isolation.
Conclusion Pain-related images can provide a valuable insight into people’s pain worlds, with images reflecting pain cognitions and barriers to recovery. Clinicians may find drawing a helpful tool in the assessment and management of chronic pain, enabling a visual and shareable language for pain.Permalink : ./index.php?lvl=notice_display&id=40379 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtPremières observations cliniques autour du cannabis et de la prise en charge de la douleur / Thierry Poitte in Le Point vétérinaire, 413-414 (Janvier-février 2021)
[article]
Titre : Premières observations cliniques autour du cannabis et de la prise en charge de la douleur Type de document : texte imprimé Auteurs : Thierry Poitte Année de publication : 2021 Article en page(s) : p. 40-49 Note générale : Issu du dossier : "Cannabis et douleur un nouveau potentiel thérapeutique ?" Langues : Français (fre) Mots-clés : CANNABIDIOL (CBD) CHRONIC PAIN EVALUATION douleur chronique animale douleur animale : traitement cannabis thérapeutique Cannabis et douleur Résumé : Le cannabidiol pourrait présenter un intérêt dans le cadre de la prise en charge des douleurs chroniques réfractaires aux traitements conventionnels chez les animaux de compagnie. Illustration avec les premières observations cliniques.
Résumé
Depuis le 19 novembre 2020, l’interdiction du cannabidiol en France est jugée illégale par la Cour de justice de l’Union européenne, ce qui annonce (peut-être) la fin d’un flou juridique. Les praticiens sont régulièrement confrontés, depuis plusieurs mois, à de nombreux cas d’autoprescription de cannabis par les propriétaires à leurs animaux de compagnie souffrant d’affections chroniques douloureuses. Sans des recommandations vétérinaires étayées, les propriétaires exposent leurs animaux à des doses incertaines de cannabidiol, parfois contaminées par du tétrahydrocannabinol particulièrement toxique chez le chien. Ces mêmes propriétaires donnent prise aux très actuelles fake news qui laissent accroire que les antalgiques conventionnels ont des effets indésirables considérables ou propagent des espoirs de guérison aussi irréalistes qu’infondés. Les vétérinaires sont les seuls professionnels de santé aptes à pratiquer des évaluations de la douleur chronique, à diagnostiquer les douleurs inflammatoires, neuropathiques ou nociplastiques, à prescrire avec pertinence les traitements médicamenteux, les méthodes complémentaires non pharmacologiques et les prometteuses biothérapies, ou encore à tisser avec les propriétaires une relation d’alliance thérapeutique nécessaire pour préserver avec éthique la qualité de vie et le bien-être de leurs animaux.Permalink : ./index.php?lvl=notice_display&id=93246
in Le Point vétérinaire > 413-414 (Janvier-février 2021) . - p. 40-49[article] Premières observations cliniques autour du cannabis et de la prise en charge de la douleur [texte imprimé] / Thierry Poitte . - 2021 . - p. 40-49.
Issu du dossier : "Cannabis et douleur un nouveau potentiel thérapeutique ?"
Langues : Français (fre)
in Le Point vétérinaire > 413-414 (Janvier-février 2021) . - p. 40-49
Mots-clés : CANNABIDIOL (CBD) CHRONIC PAIN EVALUATION douleur chronique animale douleur animale : traitement cannabis thérapeutique Cannabis et douleur Résumé : Le cannabidiol pourrait présenter un intérêt dans le cadre de la prise en charge des douleurs chroniques réfractaires aux traitements conventionnels chez les animaux de compagnie. Illustration avec les premières observations cliniques.
Résumé
Depuis le 19 novembre 2020, l’interdiction du cannabidiol en France est jugée illégale par la Cour de justice de l’Union européenne, ce qui annonce (peut-être) la fin d’un flou juridique. Les praticiens sont régulièrement confrontés, depuis plusieurs mois, à de nombreux cas d’autoprescription de cannabis par les propriétaires à leurs animaux de compagnie souffrant d’affections chroniques douloureuses. Sans des recommandations vétérinaires étayées, les propriétaires exposent leurs animaux à des doses incertaines de cannabidiol, parfois contaminées par du tétrahydrocannabinol particulièrement toxique chez le chien. Ces mêmes propriétaires donnent prise aux très actuelles fake news qui laissent accroire que les antalgiques conventionnels ont des effets indésirables considérables ou propagent des espoirs de guérison aussi irréalistes qu’infondés. Les vétérinaires sont les seuls professionnels de santé aptes à pratiquer des évaluations de la douleur chronique, à diagnostiquer les douleurs inflammatoires, neuropathiques ou nociplastiques, à prescrire avec pertinence les traitements médicamenteux, les méthodes complémentaires non pharmacologiques et les prometteuses biothérapies, ou encore à tisser avec les propriétaires une relation d’alliance thérapeutique nécessaire pour préserver avec éthique la qualité de vie et le bien-être de leurs animaux.Permalink : ./index.php?lvl=notice_display&id=93246 Réservation
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